Pregnancy and the Benefits of Pelvic Floor Physiotherapy

Pregnancy and the Benefits of Pelvic Floor Physiotherapy

Pregnancy and the Benefits of Pelvic Floor Physiotherapy

There are two key times of pelvic floor education: during pregnancy, and after pregnancy.

During pregnancy, you can work with your Pelvic Floor Physiotherapist to learn how to properly strengthen and relax the pelvic floor. A strong pelvic floor is important, but so is knowing how to relax the pelvic floor muscles, especially during childbirth.

You’ll learn strategies in preventing or reducing back pain and pelvic girdle pain (i.e. pubic symphysis dysfunction, sacroiliac joint (SIJ) pain).

In addition to learning strategies preparing for childbirth (such as perineal stretching, labor and birth positions, and more), you’ll come to better understand strategies for early postpartum recovery, especially during the first 6 weeks. The topics will include pain relief measures, early bowel and bladder optimization, early phase pelvic floor strengthening, and scar care strategies.

Another key area of education you’ll appreciate during pregnancy is optimal postures and positions for activities of daily living (such as lifting and carrying techniques, getting in and out of a car,  etc).

After pregnancy, you’ll appreciate the benefits of Pelvic Floor Physiotherapy equally

First, restoring pelvic floor muscle function and addressing any issues in postpartum recovery (such as urinary or bowel incontinence, or prolapse) can make a significant improvement to you quality of life.

Working with your Pelvic Floor Physiotherapist, you’ll learn to desensitize and mobilize scar tissue (e.g. caesarean scar, episiotomy scar, perineal tear scar). Addressing pain with sexual activities is a visited topic; as is Diastasis Rectus Abdominis (DRA) – which addresses assessment and rehabilitation strategies.

Other important advantage to working with your Pelvic Floor Physiotherapist postpartum is guidance in returning to an exercise program.

To learn more about about pelvic floor education and treatment, book an appointment today.

Sun City Physiotherapy Locations

Downtown

1468 St. Paul Street, Kelowna, BC
Phone: 250-861-8056
downtown@suncityphysiotherapy.com
more info

Glenmore

103-437 Glenmore Road, Kelowna, BC
Phone: 250-762-6313
glenmore@suncityphysiotherapy.com
more info

Lake Country

40-9522 Main St., Lake Country, BC
Phone: 250-766-2544
winfield@suncityphysiotherapy.com
more info

Lower Mission

3970 Lakeshore Road, Kelowna, BC
Phone: 778-699-2006
lowermission@suncityphysiotherapy.com
more info

To Kegel or not to Kegel?

To Kegel or not to Kegel?

You may have read on social media that you should be doing kegel exercises to help strengthen your pelvic floor. BUT, what is the pelvic floor? And more importantly, what are kegel exercises and should you be doing them? The answer is…it depends.

The pelvic floor is a sling of muscles located at the bottom of your pelvis that span from your pubic bone to your tailbone. These muscles have many different functions, including:

  • Sphincter control – they control the opening and closing of the urethral and anal sphincters and thereby help start and stop the flow of urine, gas and poop.
  • Support – they help support the pelvic organs (such as your bladder, rectum, +/- uterus).
  • Sexual – they play a role in orgasms and can help increase pleasurable sensations.
  • Sump pump – they help circulate lymphatic and venous fluid back towards the heart.
  • Stability – the pelvic floor is one of the four main “core” muscles, which work together to help provide stability for our abdomen, low back, and pelvis.

The Kegel refers to a pelvic floor muscle contraction, which involves contracting (flexing) and relaxing the pelvic floor muscles. Often times, however, these are done incorrectly.

When someone does have a weak pelvic floor, they may run into issues such as stress incontinence, urge incontinence, frequency, prolapse, and/or low back pain. Strengthening can be an effective way to improve these symptoms. HOWEVER, if you have symptoms such as pain with intercourse, pain with urinating or emptying your bowels, incomplete emptying, urgency, and/or frequency, then strength focused pelvic floor exercises may NOT be appropriate to start. In both cases a person may be experiencing incontinence…however, the treatment approach would be different.

In the latter scenario (increased tension), treatment may first focus on reducing pain, tension, and tightness with a variety of exercises, education and manual therapy techniques. Once this is accomplished, it may then be suitable to start pelvic floor strengthening.

A pelvic floor physiotherapist can help you determine if you have a weak or tense pelvic floor, and they can create an INDIVIDUALIZED program to help you meet your goals.

During an initial assessment, your pelvic floor physiotherapist will go over your health history, symptoms, and goals. They will then complete an external exam (i.e. posture, low back, sacroiliac joint (SI joint), hips) and/or an internal vaginal and/or rectal exam. This will allow your physiotherapist to evaluate your pelvic floor strength, coordination, tone, areas of pain, and potential prolapse. Please note that an internal exam is only completed with the Client’s consent and it does NOT involve a speculum. While an internal exam can help provide lots of useful information about the pelvic floor, it is not necessary if you are uncomfortable with the procedure, or you are experiencing a lot of pain. You do not need a doctor’s referral to see a pelvic floor physiotherapist. If you are interested in optimizing your pelvic floor, you can book an initial pelvic floor physiotherapy appointment by calling the Lake Country Sun City location, or book now with our direct online booking.

Sun City Physiotherapy Locations

Downtown

1468 St. Paul Street, Kelowna, BC
Phone: 250-861-8056
downtown@suncityphysiotherapy.com
more info

Glenmore

103-437 Glenmore Road, Kelowna, BC
Phone: 250-762-6313
glenmore@suncityphysiotherapy.com
more info

Lake Country

40-9522 Main St., Lake Country, BC
Phone: 250-766-2544
winfield@suncityphysiotherapy.com
more info

Lower Mission

3970 Lakeshore Road, Kelowna, BC
Phone: 778-699-2006
lowermission@suncityphysiotherapy.com
more info